Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Penny Ann Pukall

Individual provider Physician Assistant · NPI 1952950370

Penny Ann Pukall is a Physician Assistant in Las Vegas, Nevada. Licensed in Nevada and Washington. Registered with an NPI since 2019.

Licensed in
NV, WA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone: (702) 383-1958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2491 (NV)
Physician Assistant Taxonomy 363A00000X · Licence PA61120377 (WA)

Record details

NPI number1952950370
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2019
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

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